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The Seven Deadly Sins of Pain Management

Spine

Normal Anatomy of the Spine

The spine also called the back bone is designed to give us stability, smooth movement as well as providing a corridor of protection for the delicate spinal cord. It is made up of bony segments called vertebra and fibrous tissue called inter vertebral discs. The vertebra and discs form a column from your head to the pelvis giving symmetry and support to the body.

Back Pain

The incidence of back pain has drastically increased. Approximately 90% of Americans experience back pain at different stages of their life. In America, the annual expenditure for the treatment of back pain is approximately $50 billion. Back pain is not a disease; rather it is a symptom due to an underlying pathology.

Neck Pain

The cervical spine comprises of the first 7 vertebrae. It supports the weight of the head and allows its smooth movement. Neck pain refers to pain or discomfort resulting from abnormalities or injuries to any of the structures in the neck including the muscles, ligaments, nerves, bones and vertebral joints. Neck pain is one of the most common health problems experienced by individuals, at some point of their lives.

Spine Trauma

Spine trauma is damage to the spine caused from a sudden traumatic injury caused by an accidental fall or any other physical injury. Spinal injuries may occur while playing, performing normal activities, operating heavy machines, lifting heavy objects, driving automobiles, or when you suffer a fall. Injury to spine may cause various conditions including fractures, dislocation, partial misalignment (subluxation), disc compression (herniated disc), hematoma (accumulation of blood) and partial or complete tears of ligaments.

Vertebral Fractures

Back pain is an indication of stress fractures known as vertebral compression fractures. Vertebral compression fractures occur when the normal vertebral body of the spine is squeezed or compressed to a smaller height. The bone collapses when too much pressure is placed on the vertebrae, resulting in pain, limited mobility, height loss, and spinal deformity. In very severe compression fractures the back of the vertebral body is pushed into the spinal canal and pressure is placed on the spinal cord.

Spine Injections

Spine injection is a nonsurgical treatment modality recommended for treatment of chronic back pain. Injection of certain medicinal agents relieves the pain by blocking the nerve signals between specific areas of the body and the brain. The treatment approach involves injections of local anesthetics, steroids, or narcotics into the affected soft tissues, joints, or nerve roots. It may also involve complex nerve blocks and spinal cord stimulation.

Spinal Deformity Surgery

The Spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of several irregularly shaped bones, called vertebrae appearing in a straight line. The spine has two gentle curves, when looked from the side and appears to be straight when viewed from the front. When these curves are exaggerated, pronounced problems can occur such as back pain, breathing difficulties and fatigue and the condition will be considered as deformity.